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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/14341
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dc.contributor.authorSabau, D.
dc.contributor.authorDumitra, Anca
dc.contributor.authorBratu, D.
dc.contributor.authorSabău, A.
dc.contributor.authorPopentiu, A.
dc.contributor.authorGrosu, F.
dc.contributor.authorMitachescu, A.
dc.contributor.authorSmarandache, G.
dc.contributor.authorNegrean, L.
dc.contributor.authorUrsache, Elena
dc.contributor.authorSava, M.
dc.date.accessioned2020-12-29T20:57:28Z
dc.date.available2020-12-29T20:57:28Z
dc.date.issued2011
dc.identifier.citationSABAU, D., DUMITRA, Anca, BRATU, D., et al. Protezarea esofagiană în stenozelle maligne depăşite de jonctiune faringoesofagiană = Palliative endoprosthesis in inoperable malignant stenoses located on the cervical esophagus and pharyngo-esophageal junction. In: Arta Medica. 2011, nr. 3(46), p. 124. ISSN 1810-1852.en_US
dc.identifier.issn1810-1852
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/14341
dc.descriptionen_US
dc.description.abstractIntroducere: In cazul tumorilor maligne esofagiene polare superioare, faringoesofagiene si de vecinătate cu interesarea hipofaringelui şi esofagului, aflate în stadii depăsite chirurgical, protezarea presupune problemele tehnice deosebite. Material şi metodă: Am realizat endoprotezarea esofagiană prin abord laparogastroscopic (procedeu original, brevetat premiat in Japonia în 2005), la 30 de pacienți cu stenoze maligne esofagiene cervicale şi faringoesofagiene, la care cateterizarea endoscopică ortogradă a fost imposibilă, toți fiind propusi pentru gastrostomie. Rezultate: Pacienții se aflau în stadii avansate, cu diseminări la distanță şi caşexie. Localizarile esofagiene polare superioare (23 cazuri) în special cele faringoesofagiene (7 cazuri) prezinta particularitati care ingreuneaza protezarea datorita vecinatatii laringelui si riscului de aspiratie. La aceste cazuri am utilizat un tip particular de proteză. Bolnavii canulati postlaringectomie reprezinta un esantion special. Concluzii: Procedeul original laparogastroscopic protetic miniinvaziv, presupune o agresiune redusă, abordul fiind cu montarea protezei prin tracțiune nu prin împingere ca în procedeele endoscopice. Procedeul nostru a permis protezarea în localizări înalte, considerate de unii autori imposibil de protezat.ro
dc.description.abstractAims: Upper polar esophageal malignant tumors, pharyngo-esophageal malignant tumors and vicinity malignant tumors involving the hypopharynx and the esophagus, in inoperable stages, pose serious technical problems in the case of prosthesing. Method: We have performed an esophageal endoprosthesing through a laparogastroscopic approach (an original, innovative procedure internationally awarded in Japan, in 2005) on 30 patients with cervical and pharyngo-esophageal malignant stenoses. The ortograde endoscopic insertion of a catheter was impossible on these patients, all of them being proposed for gastrostomy. Results: The patients were in advanced stages, with distant disseminations and cachexy. Upper polar esophageal locations (in 23 cases), especially the pharyngo-esophageal ones (in 7 cases), presented particularities that made prosthesing very difficult, because of the vicinity of the larynx and the risk of aspiration. In these cases we used a special type of prosthesis. A particular group is made up by the patients who were cannulated post laryngotomy. Conclusions: This prosthetic mini-invasive procedure is a less aggressive one; the approach is gastroscopic, the prosthesis being inserted by traction, and not by pushing, as in the endoscopic procedures. Our original procedure allows for prosthesis placement in upper locations in which, according to some authors, prosthesing is not possible.en
dc.publisherAsociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldovaen_US
dc.subjectlaparo-gastroscopic prosthesingen_US
dc.subjectpharyngo-esophageal malignant stenosesen_US
dc.subjectinoperable upper polar esophageal canceren_US
dc.titleProtezarea esofagiană în stenozelle maligne depăşite de jonctiune faringoesofagianăro
dc.title.alternativePalliative endoprosthesis in inoperable malignant stenoses located on the cervical esophagus and pharyngo-esophageal junctionen_US
dc.typeOtheren_US
Appears in Collections:Arta Medica Vol. 46 No.3, 2011 ediţie specială

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